Highly personalized service 24/7/365, offered in multiple languages.
Confirmation of Eligibility and Benefits verbally and in writing to medical service providers.
Support in locating service providers within the geographical area of the insured.
Possibility of creating telephone lines dedicated to each client.
Help in the actual evaluation of the portfolio and in the underwriting of risks.
Access to International Health Reinsurance.
Development of New Health Products.
Access to a local telephone number, as well as a free number of costs for the insured of our clients.
Access to medical personnel in order to provide clinical support and determine the level of priorities.
Highly personalized service 24/7/365, offered in multiple languages.
Confirmation of Eligibility and Benefits verbally and in writing to medical service providers.
Support in locating service providers within the geographical area of the insured.
Possibility of creating telephone lines dedicated to each client.
Help in the actual evaluation of the portfolio and in the underwriting of risks.
Access to International Health Reinsurance.
Development of New Health Products.
Access to a local telephone number, as well as a free number of costs for the insured of our clients.
Access to medical personnel in order to provide clinical support and determine the level of priorities.
Reception and proper identification of the claim.
Audit of the claim received. This service includes:
- Evaluation of the billing techniques of the suppliers.
- Determination of specific situations
- Determination of over utilization of resources.
Separation of ineligible charges.
Comparison with national order tabs: UCR, Medicare Allowable, etc.
Re-billing of the claim: according to PPO contract accessing multiple of the largest national networks as well as regional networks, direct contracts, etc.
Adjudication of the claim.
Creation of a re-invoicing report (invoice) for later use by the client.
Payment of the claim as well as creation of the respective EOB.
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